DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

16111 MANCHESTER ROAD, L.L.C.

Active Organization

16111 MANCHESTER ROAD, L.L.C. is a General Dentistry organization located in ELLISVILLE, Missouri. NPI 1013386598 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ELLISVILLE, MO

Registration Details

NPI Number
1013386598
Provider Type
Organization
NPI Issued
Sep 15, 2015 (10.869930851454 yrs)
Last Updated
Sep 15, 2015
Licenses
2000165488 (MO)
2000169958 (MO)

Practice Information

Address
428 OLD STATE RD.
ELLISVILLE, MO, 63021
Browse MO providers · Browse ZIP 63021
Phone
6363916030
Fax
6365278386
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Organizations in ELLISVILLE, MO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.